German citizens are being urged to embrace greater personal responsibility regarding their healthcare usage, according to statements made by Chancellor’s Office Minister Thorsten Frei (CDU). In an interview with the “Rheinische Post” Minister Frei highlighted the considerable costs associated with Germany’s healthcare system, noting that while contributions may create an impression of cost-free access, these services come at a significant price.
Frei emphasized the need for increased self-responsibility within the healthcare insurance system. He pointed out that allowing patients to directly access specialists without initial consultation with a primary care physician would prove both expensive and inefficient. In line with a coalition agreement, he stressed the importance of adhering to the “primary care physician principle” which mandates patients initially consult their general practitioner.
Germany’s healthcare expenditures reach approximately €500 billion annually, with statutory health insurance performance expenditures alone standing at around €330 billion in 2024. Minister Frei noted that Germany boasts the most expensive healthcare system in Europe, coupled with the highest number of doctor visits and a high density of hospital beds compared to other European nations. Furthermore, he expressed concern over Germany’s high sickness absence rate, which is double that of France. Addressing these issues, Frei called for greater efficiency and targeted approaches within the healthcare system.
